Healthcare Provider Details
I. General information
NPI: 1679557136
Provider Name (Legal Business Name): TOWN OF LUDLOW
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/30/2005
Last Update Date: 07/01/2021
Certification Date: 07/01/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
574 CENTER ST
LUDLOW MA
01056-1459
US
IV. Provider business mailing address
8 TURCOTTE MEMORIAL DR
ROWLEY MA
01969-1706
US
V. Phone/Fax
- Phone: 413-583-8332
- Fax: 413-583-5635
- Phone: 800-488-4351
- Fax: 978-356-2721
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 341600000X |
| Taxonomy | Ambulance |
| License Number | 3339 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RYAN
PEASE
Title or Position: FIRE CHIEF
Credential:
Phone: 413-583-8332